Hollynn Frances Wilcox, LMFT | |
66 Prospect Ave, Sausalito, CA 94965-2304 | |
(415) 717-2883 | |
Not Available |
Full Name | Hollynn Frances Wilcox |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 66 Prospect Ave, Sausalito, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487271359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 119445 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Hollynn Frances Wilcox, LMFT 66 Prospect Ave, Sausalito, CA 94965-2304 Ph: (415) 717-2883 | Hollynn Frances Wilcox, LMFT 66 Prospect Ave, Sausalito, CA 94965-2304 Ph: (415) 717-2883 |
Sophie Lartilleux-suberville, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 630 Drake Ave, Sausalito, CA 94965 Phone: 415-383-2073 | |
Ms. Norma Darshan Brach, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 112 Marion Ave, Sausalito, CA 94965 Phone: 415-992-1704 | |
Ms. Jennifer Caplan, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9a Marion Ave, Sausalito, CA 94965 Phone: 415-515-9510 | |
Blythe Friedmann, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Dock, Sausalito, CA 94965 Phone: 415-601-7114 | |
Mr. John Mayer Oppenheimer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 34 Cazneau Ave, Sausalito, CA 94965 Phone: 415-717-1313 | |
Reuben Burke, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 630 Drake Ave, Sausalito, CA 94965 Phone: 415-331-1220 | |
Peter Van Auken, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3030 Bridgeway Ste 234, Sausalito, CA 94965 Phone: 415-265-5167 |